Abstract Objective To study the cognitive neural mechanism of working memory impairment in children with primary nocturnal enuresis using event-related potential (ERP).Methods A total of 14 children with primary nocturnal enuresis were enrolled as enuresis group, and 14 normal children were enrolled as control group. The learning-recognition task test was applied, and the ERP components (P2, N2, and P3) at Fz lead while identifying old pictures (learned) and new ones (unlearned) were measured and compared between the two groups.Results While identifying the old pictures, the enuresis group had a lower amplitude of P2 and N2 than the control group (P < 0.05). There were no significant differences between the two groups in the latency of P2, N2, and P3 and the amplitude of P3. While identifying the new pictures, the enuresis group had a longer latency of P2 and a significantly lower amplitude of N2 than the control group (P < 0.05). There were no significant differences between the two groups in the amplitude of P2 and P3 and the latency of N2 and P3.Conclusions Compared with normal children, the children with primary nocturnal enuresis have reduced abilities of classified information extraction, a prolonged reaction time, and reductions in memory capacity, memory consolidation, and conflict monitoring, which causes working memory impairment.
ZHU Jie,DONG Xuan,ZHAO Fang-Qiao et al. Event-related potentials of working memory impairment in children with primary nocturnal enuresis[J]. CJCP, 2018, 20(12): 1040-1043.
ZHU Jie,DONG Xuan,ZHAO Fang-Qiao et al. Event-related potentials of working memory impairment in children with primary nocturnal enuresis[J]. CJCP, 2018, 20(12): 1040-1043.
Sarici H, Telli O, Ozgur BC, et al. Prevalence of nocturnal enuresis and its influence on quality of life in school-aged children[J]. J Pediatr Urol, 2016, 12(3):159.e1-e6.
[3]
Nascimento Fagundes S, Azevedo Soster L, Lebl AS, et al. Impact of a multidisciplinary evaluation in pediatric patients with nocturnal monosymptomatic enuresis[J]. Pediatr Nephrol, 2016, 31(8):1295-1303.
[4]
Zhang K, Ma J, Lei D, et al. Task positive and default mode networks during a working memory in children with primary monosymptomatic nocturnal enuresis and healthy controls[J]. Pediatr Res, 2015, 78(4):422-429.
[5]
Bosson S, Holland PC, Barrow S. A visual motor psychological test as a predictor to treatment in nocturnal enuresis[J]. Arch Dis Child, 2002, 87(3):188-191.
Curran T, Cleary AM. Using ERPs to dissociate recollection from familiarity in picture recognition[J]. Brain Res Cogn Brain Res, 2003, 15(2):191-205.
[8]
Vande Walle J, Rittig S, Bauer S, et al. Practical consensus guidelines for the management of enuresis[J]. Eur J Pediatr, 2012, 171(6):971-983.
[9]
Equit M, Becker A, El Khatib D, et al. Central nervous system processing of emotions in children with nocturnal enuresis and attention-deficit/hyperactivity disorder[J]. Acta Padiatr, 2014, 103(8):868-878.
[10]
Freitag CM, Röhling D, Seifen S, et al. Neurophysiology of nocturnal enuresis:evoked potentials and prepulse inhibition of the startle reflex[J]. Dev Med Child Neurol, 2006, 48(4):278-284.
[11]
Polyn SM, Natu VS, Cohen JD, et al. Category-specific category-specific cortical activity precedes retrieval during memory search[J]. Science, 2005, 310(5756):1963-1966.
[12]
Finnigan S, O'Connell RG, Cummins TD, et al. ERP measures indicate both attention and working memory encoding decrements in aging[J]. Psychophysiology, 2011, 48(5):601-611.